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1病历摘要患者男,74岁。因左小腿红肿、溃疡伴疼痛1周于2011年12月到我科就诊。患者1周前无明显诱因左小腿出现一绿豆大红色丘疹,周围红肿,自用中药封包治疗(具体成分不详),病情无好转,丘疹中央逐渐溃疡坏死,溃疡面迅速向周围扩大,上覆黑色痂皮,疼痛明显,在外院使用头孢类抗生素治疗(具体不详)无好转,遂到我院就诊,并以“左小腿坏疽待诊”收住入院。
1 patient summary Male patient, 74 years old. Due to left leg swelling, ulcers with pain 1 week in December 2011 to our department. 1 week before the patient had no obvious incentive Left leg appeared a mung bean red papules, around the swelling, the use of traditional Chinese medicine package treatment (the specific composition is unknown), the condition did not improve, the papular necrosis gradually central, ulcer surface rapidly expanded to the surrounding black scab Skin, obvious pain, the use of cephalosporin antibiotics in the outer hospital (specifically unknown) no improvement, then to our hospital, and to “left calf gangrene waiting ” admitted to hospital.